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D e n t u r o l o g i e
the Journal of Canadian Denturism / le Journal de la Denturologie Du Canadafa
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Years1971-2011
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ACCREdiTATiOn: The following Canadian schools of denturism are accredited by the denturist Association of Canada:
George Brown College of Applied Arts & Technology, Toronto, OntarioNorthern Alberta Institute of Technology, Edmonton, AlbertaVancouver Community College, City Centre, Vancouver, British Columbia
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PresidentMichael Vout, DDPhone: (613) 966-7363Fax: (613) 966-1663e-mail: [email protected]
1st Vice PresidentPaul Hrynchuk, DDPhone: (204) 669-0888Fax: (204) 669-0971e-mail: [email protected]
2nd Vice PresidentDaniel Robichaud, DDPhone: (506) 382-1106Fax: (506) 855-9941e-mail: [email protected]
Vice President - AdministrationBenoit Talbot, d.d.365, boul. Greber #304Gatineau, QC J8T 5R3Phone: (819) 561-2121Fax: 819-561-9831email: [email protected]
Vice President - FinanceMaria Green, RDPhone: (604) 521-6424Email: [email protected]
Past PresidentDavid L. Hicks, DD209-1700 Corydon AvenueWinnipeg, MB R3N 0K1Phone: (204) 487-7237Fax: (204) 487-3969email: [email protected]
national Office / Chief Administrative OfficerLynne Alfreds PO Box 455212397 King George Blvd.Surrey, BC V4A 9N3 Phone: (604) 538-3123Toll Free: (877) 538-3123 Fax: (604) 582-0317e-mail: [email protected]
international denturist Education Centre (idEC)George Brown College of Applied Arts and TechnologyPO Box 1015, Toronto, ON M5T 2T9Tel: (416) 415-5000 Ext. 4793 or 1-800-265-2002 Ext. 4793 Fax: (416) 415-4117
northern Alberta institute of Technology11762-106th Street, Edmonton AB T5G 2R1Tel: (780) 471-7683 Fax: (780) 491-3149Attention: Doreen Dunkleye-mail: [email protected]
CandEC Canadian denture Education CentreClinical and Technical Precision Hands on Courses and InstructionSandra Goergen, CDTNancy Tomkins DT(dip), DDTel: (519) 754-4746
denturist Program George Brown College of Applied Arts and TechnologyPO Box 1015, Toronto ON M5T 2T9Tel: (416) 415-5000 Ext. 3038 or 1-800-265-2002 Ext. 4580Fax: (416) 415-4794 Attention: Gina Lampracos-Gionnas E-mail: [email protected]
département de denturologieCollège Edouard-Montpetit945, chemin de Chambly, Longueuil QC J4H 3M6Tel: (450) 679-2630 Fax:(450) 679-5570Attention: Patrice Deshamps, d.d.
denturist TechnologyVancouver Community College, City Centre250 W. Pender Street, Vancouver BC V6B 1S9Tel: (604) 443-8501 Fax: (604) 443-8588Attention: Dr. Keith Milton E-mail: [email protected]
denturist Technologynorthern Alberta institute of Technology11762-106th Street, Edmonton AB T5G 2R1Tel: (780) 471-7686 Fax: (780) 491-3149Attention: Maureen Symmes E-mail: [email protected]
denturist Association of British ColumbiaC312-9801 King George Blvd.Surrey, BC V3T 5H5Attn: Lynne Alfreds, Executive SecretaryTel: (604) 582-6823 Fax: (604) 582-0317E-mail: [email protected]: www.denturist.bc.ca
denturist Association of Alberta4920 – 45th Avenue, Sylvan Lake AB T4S 1J9Attention: Don Tower, PresidentTel: (403) 887-6272Fax: (403) 887-6271E-mail: [email protected]
The denturist Society of Saskatchewan#507 - 100A StreetTisdale, SK S0E 1T0Attn: Darryl Kuny, PresidentTel: (306) 873-4858Fax: (306) 873-4857Email: [email protected]
denturist Association of ManitobaPO Box 70006, 1–1660 Kenaston BoulevardWinnipeg, MB R3P 0X6Attn: Kelli Wagner, AdministratorTel: (204) 897-1087 Fax: (204) 488-2872E-mail: [email protected]: www.denturistmb.org
The denturist Association of Ontario5780 Timberlea Blvd., Suite 106Mississauga, ON L4W 4W8Attn: Susan Tobin, Chief Administrative OfficerTel: (800) 284-7311 Tel: (905) 238-6090 Fax: (905) 238-7090E-mail: [email protected]: www.denturistassociation.ca
L’Association des denturologistes du Québec8150, boul. Métropolitain Est, Bureau 230Anjou, QC HIK 1A1Atten: Kristiane Coulombe, Responsable Service aux membresTel: (514) 252-0270 Fax: (514) 252-0392E-mail: [email protected] Website: www.adq-qc.com
The new Brunswick denturists Society La Société des denturologistes du n-B.288 West Boulevard St. PierrePO Box 5566 Caraquet, NB E1W 1B7Attn: Claudette Boudreau, Exec. Sec.Tel: (506) 727-7411 Fax: (506) 727-6728E-mail: [email protected]
denturist Society of nova Scotia3951 South River RoadAntigonish, NS B2G 2H6Tel: (902) 863-3131Attn: Diane Carrigan - Weir, [email protected]
denturist Association of newfoundland Labrador323 Freshwater RoadSt. John’s, NL A1C 2W5Attn: Steve Browne, DD, PresidentTel: (709) 722-7900E-mail:[email protected]
denturist Society of Prince Edward island191 Pope Road, Unit ASummerside, PE C1N 5C6Tel: (902) 436-3235Attn: Lisa MacKintosh, [email protected]
Yukon denturist Association#1-106 Main StreetWhitehorse, YT Y1A 2A7Attn: Peter Allen, DD, PresidentTel: (867) 668-6818 Fax: (867) 668-6811E-mail: [email protected]
denturist Association of northwest TerritoriesBox 1506, Yellowknife, NT X1A 2P2 Attn: George GelbTel: (867) 766-3666 Tel: (867) 669-0103E-mail: “George Gelb” [email protected]
Honorary MembersAustin J. Carbone, BSc, BEd, DDThe Honourable Mr. Justice Robert M. Hall
Denturist AssociAtion of cAnADAL’AssociAtion Des DenturoLogistes Du cAnADA
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Celebrating
YearsClick here to return to the Table of Contents
contentsFor display advertising, contact Craig Kelman & Associates Ltd. For subscriptions or classified advertising contact the Denturist Association of Canada National Office.
The challenge of this publication is to provide an overview of denturism, nationally and internationally, and a forum for thought and discussion. Any person who has opinions, stories, photographs, drawings, ideas, research or other information to support this goal is requested to contact the Editor to have the material considered for publication. Statements of opinion and supposed fact published herein do not necessarily express the views of the Publisher, its Officers, Directors or members of the Editorial Board and do not imply endorsement of any product or service. The Editorial Board reserves the right to edit all copy submitted for publication.
©2011 Craig Kelman & Associates Ltd. All rights reserved. The contents of this publication may not be reproduced by any means, in whole or in part, without prior written consent from the publisher.
ISSN: 1480-2023
Editor-in-Chief: Hussein Amery, M.Sc., Psy.D., DD, FCAD #112, 2675 - 36 Street NE Calgary, Alberta T1Y 6H6Phone: 403-291-2272e-mail: [email protected]
National Liaison: Lynne Alfreds PO Box 455212397 King George Blvd.Surrey, BC V4A 9N3 Phone: (604) 538-3123 Toll Free: (877) 538-3123Fax: (604) 582-0317e-mail: [email protected]
Published by:
Printed on Forest Stewardship Council® (FSC®) certified paper with vegetable
oil-based inks. Please do your part for the environment by reusing and recycling.
Fall / automne 2011
featuresDAC’s 40th anniversary ...............................................19
A retrospective of DAC’s 40-year history, including greetings from around the world, photos, and a look at how the industry has evolved over the years.
Oral cancer screening .................................................31Denturists and other dental professionals are in a unique position to help detect oral cancer, or pre-cancer. No one is better suited to detect early stage oral cancer or pre-cancer, because no one spends more time examining the oral cavity.
DTABC Annual Convention ...........................................35A preview of the Dental Technicians of BC annual convention, November 4-5, 2011 at the Sheraton Vancouver Airport Hotel in Richmond, BC.
31
19DepartmentsPresident’s Message .......................................................8
Le mot du président ......................................................11
Editor’s Message ..........................................................13
Insurance .....................................................................15
Practice Management ...................................................16
In Memoriam ................................................................23
Industry News ..............................................................37
Un-comfort Zone ..........................................................42
Classifieds................................................................... 44
Reach Our Advertisers ................................................. 463rd Floor, 2020 Portage Avenue Winnipeg, MB R3J 0K4 Tel: (204) 985-9780 Fax: (204) 985-9795 e-mail: [email protected]
Managing Editor: Cheryl Parisien Design/Layout: Theresa KurjewiczAdvertising Sales: Chad MorrisonAdvertising Coordinator: Lauren Campbell
Send change of address to:[email protected]
Return undeliverable Canadian addresses to:e-mail: [email protected] Mail Agreement #40065075.
35
DAC Celebrating
Years1971-2011
Dental Technicians Association of British Columbia Annual Convention
NovemBer 4-5, 2011
7Fall / automne 2011
Celebrating
YearsClick here to return to the Table of Contents
PResident’s messagemichael C. Vout, dd
our 40th anniversary: Just the beginning
This summer has been fabulous in southern Ontario, with plenty of
sunshine and warm temperatures. I hope everyone has had the opportunity to enjoy the summer. The Denturist family across Canada has been busy with activities from the gala in Alberta celebrating the 50th anniversary of Denturism in Canada, to the DAC AGM hosted by the New Brunswick Denturist Society in Moncton, and now to celebrating the 40th anniversary of the Denturist Association of Canada.
We are celebrating the ruby anniversary, which is a very special milestone. The ruby gemstone is truly symbolic of what has come to pass in the marriage of Denturism from province to province and from sea to sea in this great land. The ruby is thought to posses an eternal inner flame, which symbolizes the passion in our profession which is still very much alive, even after 40 years.
Our association was created by forefathers of the profession, like Ben Sweet, George Connolly, and others. When we think about our history, we rightly acknowledge those who were responsible for the birth of Denturism. They took unauthorized practice into the realm of legitimacy, self-regulation, professionalism, and respectability. They understood the need to embrace
a common goal of providing the public with high-quality denture service, not just in their town or province, but within the whole of Canada. They made their primary goal the formation of the Denturist Association of Canada. To achieve all that we have in such a short time has been a formidable task. It has taken commitment, dedication, and tenacity – characteristics of our past leaders which continue to be passed down to the next generation.
The vision of a few pioneers has enabled our association to be recognized as a leader, both nationally and internationally. Not only is our association recognized, but our educational institutions are regarded as world-class centers of learning. Our provincial associations and governing bodies are also viewed as leaders in shaping the profession both for practitioners, and for the public.
Our suppliers and manufacturers are also there to assist us with educational seminars, new materials, and equipment to keep us in the forefront of providing innovative denture procedures and products for our patients.
We really have so many areas to be proud and thankful for. As members of the Denturist Association of Canada and members of your provincial association, you receive the necessary support to
continue to provide high-quality denture healthcare, great patient-practitioner relationships, and improve the quality of life of our patients.
As we take the time to celebrate this achievement, we must reflect on the role and the skills that we have in promoting and maintaining oral healthcare for Canadians of all ages. We provide mouth guards, partials, complete sets of dentures, and full implant reconstructive restorations to allow patients of all ages to carry on with their daily routines, because of what we are able to do for them. As an association and a profession, this should give us all something to smile about.
DAC and its provincial members have always been in the forefront in the recognition and legislation of the profession throughout Canada and the world. We continue to enhance and advance the profession. Canada is recognized as a world-class leader, and as we continue our journey together, we look forward to accomplishing many new goals. But it is all of you, the past, the present, and the future pioneers, who have truly made this journey such a memorable and enjoyable experience. Happy 40th to you all.
Yours in Denturism,Michael C. Vout, President
“As we take the time to celebrate this achievement, we must reflect on the role and the skills that we
have in promoting and maintaining oral healthcare for Canadians of all ages.”
8 Fall / automne 2011
Celebrating
YearsClick here to return to the Table of Contents
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Celebrating
YearsClick here to return to the Table of Contents
michael C. Vout, dd le mot du PRésident
notre 40e anniversaire : ce n’est que le début
L’été a été magnifique dans le sud de l’Ontario. Nous avons eu beaucoup
de soleil et du temps chaud. J’espère que vous avez tous eu l’occasion de profiter de la belle saison. Les denturologistes de tout le Canada ont été occupés de diverses façons : il y a eu le gala en Alberta pour souligner le 50e anniversaire de la création de la profession de denturologiste au Canada, l’AGA de notre association, organisée à Moncton par notre hôte, la Société des denturologistes du Nouveau-Brunswick Moncton, et maintenant nous célébrons le 40e anniversaire de l’Association des denturologistes du Canada.
Le 40e anniversaire est associé au rubis; c’est un jalon très spécial. Le rubis constitue vraiment un symbole approprié, qui reflète ce qu’est devenu le mariage de la denturologie d’une province à l’autre et d’un océan à l’autre de ce grand pays. On associe au rubis l’idée de flamme intérieure éternelle, symbole de la passion envers notre profession, passion encore bien vivante après 40 ans.
Notre association a été créée par des pionniers de la profession comme Ben Sweet, George Connolly et d’autres. Lorsque nous repensons à notre passé, nous saluons à juste titre ceux à qui nous devons la naissance de la denturologie. Ils ont transformé une activité non réglementée en une activité légitime, empreinte de professionnalisme et suscitant le respect. Ils avaient compris qu’il fallait embrasser une cause commune, à savoir fournir au public des services de denturologie de qualité supérieure, non seulement dans leur ville ou leur province, mais dans l’ensemble du Canada. Ils se sont donc fixé comme principal objectif de créer
l’Association des denturologistes du Canada. Tant d’accomplissements en si peu de temps, c’est colossal. Il a fallu de la détermination, du dévouement et de la ténacité – des traits de caractère présents chez nos leaders d’hier, qui ont été transmis à la génération suivante.
Grâce à leur vision, une poignée de pionniers ont réussi à faire de notre
association un leader reconnu tant sur la scène nationale qu’internationale. Non seulement notre association est-elle réputée, mais nos établissements d’enseignement sont vus comme des centres d’apprentissage de classe mondiale. Par ailleurs, nos associations provinciales et organes directeurs sont également considérés comme des leaders
« À l’heure où nous célébrons ces réalisations, nous devons aussi nous
pencher sur le rôle et les compétences que nous avons pour ce qui est de promouvoir et de maintenir les soins dentaires pour les
Canadiens de tous âges. »
11Fall / automne 2011
Celebrating
YearsClick here to return to the Table of Contents
le mot du PRésident
qui façonnent la profession aussi bien pour les praticiens que pour le public.
Les fournisseurs et fabricants jouent aussi un rôle pour nous aider dans l’organisation de séminaires de formation, la préparation de nouvelle documentation et de nouveaux outils pour nous tenir au fait des dernières nouveautés au sujet des procédures et produits à l’intention de nos patients.
Nous avons vraiment beaucoup de raisons d’être fiers et reconnaissants. À titre de membres de l’Association des denturologistes du Canada et de votre association provinciale, vous recevez le soutien nécessaire pour continuer de fournir des soins de santé dentaire de qualité supérieure, d’entretenir d’excellents rapports patient-praticien et
d’améliorer la qualité de vie des patients.À l’heure où nous célébrons ces
réalisations, nous devons aussi nous pencher sur le rôle et les compétences que nous avons pour ce qui est de promouvoir et de maintenir les soins dentaires pour les Canadiens de tous âges. Nous procurons à des patients de tous âges des protecteurs buccaux, des prothèses partielles ou complètes ainsi que des traitements de restauration et de reconstruction fondés sur la mise en place d’implants. Grâce à ce que nous pouvons faire, ces personnes peuvent poursuivre leurs activités quotidiennes. Comme association et comme profession, cela doit nous donner envie de sourire.
L’ADC et les associations provinciales membres ont toujours été à l’avant-
garde des démarches en vue de la reconnaissance professionnelle et de l’adoption de la législation connexe, partout au Canada et dans le monde. Nous continuons de contribuer à l’amélioration et à l’avancement de la profession. Le Canada est reconnu comme un leader mondial et, à mesure que nous poursuivons notre route ensemble, nous prévoyons accomplir de nombreuses autres réalisations. C’est vous tous – les pionniers d’hier, d’aujourd’hui et de demain – qui avez fait de cette aventure une expérience si mémorable et agréable. Joyeux 40e anniversaire à vous tous.
Chaleureuses salutations,Michael C. Vout, président
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Celebrating
YearsClick here to return to the Table of Contents
editoR’s messageHussein amery, m.sc., Psy. d., dd, FCad
Happy anniversary
T he Denturist Association of Canada is celebrating its 40th anniversary.
Over the decades, DAC has estab-lished itself as the the authoritative voice of denturism in Canada, and certainly has made major contributions to international denturism as well. Its mission has always been to pursue the advancement of the profession through education, commu-nication amongst members, and liaise with external agencies, and to encourage excellence in the provision of denture ser-vices to all Canadians and those abroad when called upon.
DAC, since its inception, has been instrumental in assisting every province and territory getting legislation save for two. It has furthered every province and territory’s legislation and scope of practice through collaboration with their provin-cial and territorial counterparts, and has always worked under the guiding principle of inclusion. To list the many contributions of DAC over the decades would take more than the space allocated, however, some of our younger members now enjoy many things today that members even 20 years ago (PEI received their legislation in 2003) thought impossible. Things like denture care directly to the public, self-regulation, and the ability to do partials, let alone implant-retained prostheses.
With the focus over the decades more on anatomy and physiology rather than just the mechanical perfection, we saw the profession morph from the mere fabrica-tion of appliances to four Canadian DAC-accredited institutions offering the pro-gram that now includes (but is not limited to) courses in general anatomy and physi-ology, orofacial anatomy, dental histology and embryology, microbiology, oral pathol-ogy and medicine, psychology in dentistry, dental psychology and the aging patient, complete denture prosthodontics, small business management, pharmacology and emergency care, dental kinesiology, removable partial dentures, preventive dentistry, general histology, public health, legislation and research, radiographic interpretation, pre-clinical prosthetics, dentures over implants, dental materials, practice management, partial dentures, clinical prosthetics, and human relations.
The schools undergo an accredita-tion process that ensures a standard of education across Canada. DAC, by focusing on accreditaion, was instru-mental in achieving many things, but most notable are the expanded scope of practice nationally, and the more compre-hensive education of denturists has led to a stronger working relationship amongst the entire oral health team.
Throughout Canada, an evolution to use of the professional title denturist has been standardized, and even though each province in Canada has its own denturist regulatory body with jurisdiction over the admission and discipline of denturists, DAC was able to establish the current labour mobility guidelines that we enjoy. In addition, all provinces along with their association or society of denturists, sup-port their members in continuing educa-tion, fee negotiation, and other matters. From this strong relationship, DAC was also able to launch the current e-billing DACnet that has been long overdue. The Denturist Association of Canada was founded in 1971 as an “association of Canadian associations.” The original func-tion was to provide the provincial dentur-ist societies with a communication and networking vehicle to discuss matters of mutual interest. Today, the Denturist Asso-ciation of Canada is the voice of Canadian denturism, representing denturists on national and international levels. In turn, the Denturist Association of Canada is a member of the International Federation of Denturists which is also a forum for com-munication amongst both established and growing countries of denturism.
Congratulations and best wishes on another productive 40 years!
"Today, the Denturist Association of Canada is the voice of Canadian denturism, representing denturists on national
and international levels."
13Fall / automne 2011
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Celebrating
YearsClick here to return to the Table of Contents
Joe Pignatelli, RHu insuRanCe
Careful estate planning can untangle an estate from costly government
inspections. Probate fees are calculated on assets, regardless of liabilities, at rates of approximately .5% to 1.5% of the estate’s assets. Methods of reducing the need for probate can save you money.
“Estate” is the legal term. When used in connection with probate proceedings, the term encompasses the total property that is owned by a deceased person prior to the distribution of that property in accordance with the terms of a will, or when there is no will, by the laws of inheritance in the jurisdiction of residence.
When an individual dies, his or her last
Why is it necessary to probate an estate?
will and testament is read. Because financial matters need tending to, your will should outline how you want assets divided, your debts paid, and where applicable, define the management of these assets using established trusts for your heirs. Family members may read a will if it is in their possession. Next, the will must go to the executor, who then assesses it, to see if it needs to be probated. Probate is a court assessment that may require government approval to settle your estate and transfer the ownership of your assets. Probate is generally necessary in cases when:• A bank, trust company, or other financial
institution insists on the will being
probated to prove that the executor has the authority to act.
• The assets include shares owned in a private company.
• The executor needs to sue an individual owing the estate money.
• Creditors are owed money from the estate.
• A will’s terminology is unclear, ambiguous or certain provisions are not stated. (For example, if there is no provision to pass assets to another heir where a spouse has predeceased you.)
• A will is improperly witnessed.Note: In Quebec, probate is not needed when a notary under seal prepared the will.
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15Fall / automne 2011
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PRaCtiCe managementJanice Wheeler, President, The Art of Management Inc.
Congratulations daC on your 40th anniversary
As DAC is celebrating 40 years of progress in the field of denturism,
it seems appropriate to look at the evolution of your profession over the years. There have been many significant accomplishments, and the pioneers of your profession probably never even dreamed how denturism would look today in 2011.
Your PastAt the Awards Dinner at the First World Symposium of Denturology in 1998, I sat with a wonderful gentleman from Saskatchewan (one of the early pioneers in Saskatchewan) and he entertained me with the history of denturism in Canada and stories of him and others going to jail for practising this profession. He was filled with pride at how his profession had become so established and recognized. And well he should be!
Your FutureAbout 12 years ago, there was a prediction in a national newspaper that denturism was going to be one of the top three fastest-growing professions in the new millennium (the other two were snow removal and landscaping, I believe). This prediction seems to be coming true in ways we couldn’t even imagine 15 years ago. For example, there are now teams of implant dentists actively soliciting denturists to team up and do implant-supported dentures, and they even come to your practice. Also, more and more denture practices are sprouting extra ops so as to include dentists as part of their operation.
On top of all this progress, the Canadian denturist profession (along
with George Brown College) can even be proud of itself for helping to get the profession off the ground in England.
A natural EvolutionEvolution is necessary and inevitable for survival. In any profession, technology and cultures are moving into new realms daily. Our company is in a unique position to see some interesting trends because we have intensively consulted more than 600 dental offices and 150 denturist practices across Canada over the past 22 years. Dentists and denturists are both heading in new, exciting directions with the development of state-of-the-art equipment, materials and techniques.
With all the technological advances being made lately in the dental arena, many dentists are moving away from making dentures. There is a heightened interest and focus on aesthetic, cosmetic, whole mouth reconstructions, implants and other advanced dental solutions. Therefore, a rapidly increasing number of dentists are referring all denture work to you as that is your specialized field.
Measuring UpWe all agree that what is best for the patient must be a primary concern for any practitioner. The questions are: Am I meeting the patient’s requirements and expectations? Am I knowledgeable enough to judge what the best is for my patient and produce the result? Do I feel that I am worthy of my fees? These all seem to be primary considerations which will influence what your fees should be.
Your patients and referring dentists will
let you know whether you are measuring up or not. Either they will refer others, or they won’t. If you aren’t getting enough referrals from your patients or dentists (assuming that you have offered your services to them), then take a look at the quality of care that you are providing as well as the quality of your product and the appearance of your practice. Normally, you will find shortcomings in one or all of the above.
Our most progressive clients generally have excellent relationships with dentists in their area as well as with dental specialists who are involved in implant work. They also tend to devote a significant amount of time and money to continuing education, have immaculate, upscale looking practices, provide top quality care and service, make a very good quality denture, and charge appropriate fees.
The Cost Of EvolutionAlong with the evolutionary role change, your service and care to the patient must rise to the occasion as well. Consequently, your expenses may see an increase in terms of:
(1) Continuing education: There is a responsibility to keep abreast of the technological advances being made in your field and provide your patients with ideal and optimum solutions and options. Baby Boomers tend to want the optimum cutting-edge solutions more often these days and they have the disposable income to proceed with these options.
There are an ever-increasing number of denturists flying around attending
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PRaCtiCe management
Janice Wheeler is the president and co-owner
of the The Art of Management Inc., a practice
management company dedicated to helping
denturists and other healthcare practitioners
reach their full potential. For more information
call 416-466-6217 or 800-563-3994,
e-mail [email protected], www.amican.com
courses in Zurich, Germany and the United States as well as across Canada. Just like dentists, your profession is growing in complexity of treatment styles and techniques and keeping up with these is a necessity.
(2) Staffing: The majority of denturists in the past did their own lab work and often considered themselves as mainly a lab tech. Many didn’t even have a receptionist (and some still don’t). Today, a large percentage have found themselves hiring both a receptionist and a lab technician (or more) in order to become the clinician they always wanted to be, thus providing better quality care and faster service, all to the benefit of the patient.
(3) Equipment: With the technological advances comes the requirement for newer, more expensive equipment, as well as ongoing replacement costs for existing equipment.
(4) Materials: The cost of teeth and other materials have also escalated along with the national rate of inflation. A lot of patients are no longer satisfied with “acceptable looking” dentures, but rather prefer the ultimate in naturalness and aesthetics, along with the best possible fit.
(5) Premises: Baby Boomers have more disposable income and expect higher standards in terms of the look of your practice and they will not refer other people to you if they found your office lacking an upscale aspect. Many denturists are creating aesthetically pleasing practices that are keeping up with the times.
Your Financial Rewards Along with a rise in your costs, your fee guides have been ever escalating which should be resulting in a substantial increase in your income. When we started working with denturists 17 years ago, the average denturist was billing about $12,000-
$15,000 per month. Since then we have witnessed those numbers growing. AMI’s average client (after our training and coaching) now bills about $45,000 per month, with some lower than that and some over $100,000 per month.
don’t Be A dinosaur – Embrace EvolutionYour profession is rising in stature and is evolving to meet the needs of your patients, and the real game is to keep current with the technology, and give them the highest quality possible.
Here’s to a fantastic next 40 years for DAC!
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DAC Celebrating
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NAIT Denturist ProgramIn 1963 NAIT launched the first formal training program in North America for denturists, delivering a Dental Mechanic Program in conjunction with the Dental Technician Program. Through the years, as denturism grew in recognition and credibility, the program advanced and adapted curriculum to meet the needs of the profession. NAIT was the first institute in Canada to graduate students trained exclusively as denturists. In 1965, NAIT had one instructor for the two-year program, and by 1968, the program had increased to three instructors. Upon graduation, students were then required to “apprentice” at a denturist clinic for two years. In 1983 the program was renamed Denturist Technology; and in 2008, the program went to the current three-year format, with two years spent on campus and the third year consisting of a 37-week practicum followed by seven weeks at NAIT.
Students at NAIT are educated in a state-of-the art clinic, using evidence based practices and modern techniques. The denturist clinic at NAIT has nine bright, well-equipped operatories. Courses in the program include progressive training in dental implantology, partial dentures, radiography, and practice management. The third-year theoretical courses are delivered on-line, allowing students to apply their knowledge to the work environment. Practicum students benefit from the expertise of their preceptors, learning and practicing in an authentic work environment while building on the knowledge base acquired during their first two years of education.
NAIT is a fully accredited program and has graduates practicing in every province and in several American states. Instructors in the program have a variety of dental and health science backgrounds. There are now 10 full-time instructors, all who bring extensive
private practice experience to the learning environment. Second-generation denturists – the sons and daughters of denturists – are common among the students enrolled in the program. NAIT congratulates the Denturist Association of Canada on their 40th anniversary and pledges to continue to be a leader in the education of Canadian denturists.
Dental Technicians Association of British Columbia
Congratulations to the Denturist Association of Canada on your 40th anniversary. As
professional colleagues we recognize your commitment to the industry and in helping and supporting denturists in their pursuit of excellence.
We wish you continued success in your mission to promote the advancement of denturism on the national level. We look forward to working together to promote and advance the profession of dental health care in Canada.
The Dental Technicians Association of British ColumbiaT. 604-278-6279 | 888-495-4566 [email protected]
International Federation of DenturistsEarly records of the International Federation of Denturists (IFD) show that Canada has been attending IFD meetings since at least 1971, in Copenhagen, Denmark. This date fits naturally with the birth of the Denturist Association of Canada (DAC). In 1971, Canada was not yet fully recognized but already the stories of the success of eight of their provinces was put to good use internationally.
In 1980, Ben Sweet, the “Father of Canadian Denturism,” was elected to the
board of the IFD and ultimately became a vice president of the organization. From 1992 to 1994, Bill Buxton Sr. held the position of Secretary-General of the IFD. In 1995, Austin Carbone of Newfoundland and Labrador became IFD president. Austin’s presidency elevated the IFD to a strong working group with ongoing communication amongst members. During this period, Professor Michael Vakalis of George Brown College, Toronto, became the IFD Education Chair and introduced the IFD baseline competency. The baseline competency is recognized as the standard curriculum around the globe and has been translated to several languages. We wish to acknowledge Mr. Mario Wojcicki of Ontario for extraordinary efforts in representing his homeland of the Republic of Slovakia and his personal perseverance throughout government and social roadblocks. In 2000, the office of the chief executive moved to Canada and is there to this day under the leadership of Gerry Hansen, formerly of the DAC. The IFD’s current president, Tony Sarrapuchiello of Quebec, was elected in 2009. His presidency has so far resulted in a vision and mission, with work around the new strategic plan being put into place. All of these Canadians have been inducted into the prestigious Brotherhood of Sterkenburgers, originally a Dutch educational group that eventually became a symbol of dedication to the profession. Among other Canadian inductees are David Robertson, Michel Gamache, the late Robert Pereault, Martin Damphousse, Carlo Zanon, and Gerry Hansen.
The ultimate acknowledgement and highest honour of the IFD is the Pieter Brouwer Award. This award has been presented to only four recipients in its lifetime: Professor Michael Vakalis, Austin Carbone, Paul Levasseur of the United States, and Mr. Chris Allen of the UK.
The IFD is grateful for the participation of Canada throughout its long international
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DAC Celebrating
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history. The success of Canada’s relationships within our organization is due to the trust and respect given to all its Canadian representatives, observers, and companions.
On behalf of the International Federation of Denturists, we extend our very best wishes to the Denturist Association of Canada on the occasion of its 40th anniversary.
Tony Sarrapuchiello, DD, President, IFD Gerry Hansen, BA, Chief Executive
Denturist Society of Saskatchewan Congratulations to the Denturist Association of Canada on its 40th anniversary from myself and the rest of the members of the Denturist Society of Saskatchewan. And thank you to the pioneers of our profession who had the courage and determination to pave the way for denturism in Canada. – Darryl Kuny, DD, President
Yukon Denturist AssociationI have been a denturist in Canada since 1974, and in those 37 years I have seen dramatic change in the profession, most of which is good. The DAC has been responsible for much of this change, and I am pleased to have been a small part of it. I wish the association many more years of the same. – Pete Allen, DD, President
Denturist Association of ManitobaCongratulations to the Denturist Association of Canada on its 40th anniversary. When we reflect upon what this year represents – four decades of supporting our profession and serving as its voice; four decades of influence and developing standards for education; four decades of dedicated volunteer work to further advance denturism across Canada – it truly is a milestone worthy of
celebration and reflection. On behalf of all members of the Denturist Association of Manitoba, Paul Hrynchuk DD, President
Prince Edward Island Denturist AssociationOn behalf of the Prince Edward Island Denturist Association, I would like to extend the Denturist Association of Canada a happy 40th anniversary. Wishing the DAC continued success and growth in the forthcoming years! – Lisa Mackintosh DD, President
Denturist Association of BCCongratulations to the Denturist Association of Canada on its 40th anniversary! Thank you to all those volunteers past and present who have worked tirelessly on behalf of DAC. Here’s to the next 40 years! – Maria Green, RD, President
Denturist Association of OntarioOn behalf of the members of the Denturist Association of Ontario, we
would like to congratulate the Denturist Association of Canada (DAC) for 40 years of representing denturists across Canada. As the authoritative voice of denturism in Canada, the DAC has provided leadership for the profession in Canada and throughout the world.
NBDSOn behalf of the New Brunswick Denturist Society, I would like to express our most sincere congratulations to DAC on their 40th anniversary. Daniel Robichaud DD, President
Association des denturologistes du QuébecThe Association des denturologistes du Québec would like to wish to the Denturist Association of Canada a very happy 40th anniversary. We would also like to thank its forefathers, and to welcome the future denturists. Our profession needs all of you!
from around the world40th anniversary messages
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1971-1982 Ben Sweet, Ontario
1982-1984 William Buxton, New Brunswick
1984-1986 John Browne Sr., Newfoundland
1986-1988 Grant Barrick, Saskatchewan
1988-1990 Brian Monk, Ontario
1990-1996 Austin Carbone, Newfoundland
1996-2002 Tony Sarrapuchiello, Québec
2002-2008 David Hicks, Manitoba
2008-present Michael Vout, Ontario
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in memoRiam
A PrOMINENT PlACE IN DENTurIST hISTOrY
William D. Buxton
William David Buxton Sr., CD, LD, 68, passed away peacefully April 29,
2011, with his family by his side after a short battle with cancer. He was born May 10, 1942, in England, during World War II, to war bride Barbara (Wooller) Buxton, and the late William E. Buxton, a Canadian serviceman. As a military family, William arrived in Canada at the age of two to live in British Columbia, and later moved to New Brunswick as a teen, where his father was involved in the building of Canadian Forces Base Gagetown. After schooling, he joined the Canadian Armed Forces and was a member of the engineers, like his father, and then the Royal Dental Corps. William’s military years saw the family living in various places in Canada and at Supreme Headquarters Allied Powers in Europe, Mons, Belgium. He was honourably discharged from the Dental Corps to start his career as a denturist in 1972.
Bill was involved in the denturist movement in Canada, starting in 1972, holding many positions provincially, nationally, and internationally, while owning denture clinics in Fredericton, Woodstock, Minto, Sussex, Petitcodiac and Havelock, New Brunswick. Bill was Executive Director of the Denturist Association of Canada for several years. He then volunteered his expertise and passion for denturism and became the Chief Executive of the International Federation of Denturists, completing his responsibilities in 2000. In
recognition of his considerable services to the profession, Bill was inducted into the Brotherhood of Sterkenburgers in 1998.
In 1998 he and Nancy came to Maine to help establish New England Denture Centers with their son. The Buxton family has three generations of denturists who graduated from George Brown College, Toronto. William loved to golf and fish. The family has spent many enjoyable summers at Pushaw Lake Campground forming so many friendships and many fond memories, which will continue. Winter vacations were spent in Myrtle Beach, S.C., and Nashville, Tenn., with lots of traveling in between to see the sights of the U.S. and Canada. He enjoyed politics in Canada and the U.S. Bill was a former councillor with the town of Sussex, New Brunswick. William is survived by his wife of 48 years, Nancy (Munn) Buxton of Bangor; his son, William F. Buxton
Jr. and his fiancée, Cheryl Bouchard, of Winterport; his granddaughter, Stephanie Buxton and her fiancée, Shawn Scott, of Hermon; his mother, Barbara Buxton; brother, Rodney Buxton and his wife, Katie, and family of Winnipeg, Manitoba; a sister, Sylvia Sandquist and family of British Columbia; his mother-in-law, Gloria Munn of Fredericton, New Brunswick; several nieces, nephews and many cousins in western Canada; an aunt, uncle and cousins in England; and a swimming partner, granddog, Sylar.
Bill’s passion, dedication and love for the profession of denturism have been held in the highest esteem by all who knew him. His larger-than-life presence will be missed but his legacy is forever a part of our history.
Gerry Hansen, Chief ExecutiveInternational Federation of Denturists
Part of this article has been reprinted with permission from the Bangor Daily News.
Bill and good friend, Austin Carbone, at Bill’s induction into the Sterkenburgers
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In November 1986, the very first CAD/CAM course was offered in Canada. It may also have been the very first course of its kind offered in North America.
The accompanying photos show an article by Henri Rotsaert, about the emerging CAD/CAM technology, titled Methodology of Computer Aid Design and Computer Aid Manufacture of Fixed Dental Prosthesis.
Computer technology as we know it today was mere science fiction in 1980s. Back then, Dr. Francios Duret introduced a revolutionary concept of digital impression systems and CAD (computer assisted design) with the use of micro milling in the dental office and fabrication in the dental laboratory. What Dr. Duret envisioned has become the groundwork for all dental CAD/CAM systems on today’s market.
The Cerec system with in-office scan and mill, the iTero and Lava COS (Chairside Oral Scanner) systems all should pay tribute to Dr Duret insight into the future of dentistry.
From a dental laboratory perspective, the CAD/CAM world has erupted. CAD/CAM technology in dentistry is
Methodology of computer aid design and computer aid manufacture (CAd/CAM) of fixed dental prosthesis
From Dr. Francois Duret’s original methodology, translated by Henri Rotsaert
Computer Aid Design and Computer Aid Manufacture (CAD/CAM) of fixed dental prosthesis represents an innovation of such dimensions that its development can only be described as a revolution in a technology that has remained virtually unchanged in 300 years – until now.
A brief description of the traditional method of designing and producing crowns and bridges, and a comparison between this process and the capabilities of the CAD/CAM system, illustrates the extent of this technological advance.
Current procedures involve some varia-tion, but all depend on several fundamental steps: 1) taking impressions of the teeth to be restored, using various impression materials; 2) sending this cast to the dental laboratory, which, through various stages –
models, mounts, wax-up, casts, porcelain and finish – makes the dental prosthesis; 3) making modifications which are sometimes necessary due to inaccuracies caused both by the materials being used, and by human error, upon insertion.
By comparison, the CAD/CAM system eliminates the need for time-consuming and generally unpleasant impression-taking, reduces the patient’s involvement in the process to a single visit, and decreases overall production time for the dental prosthesis to a fraction of the time span required by traditional methods. A completed crown can be on its way to the dentist within a half hour; furthermore, this prosthesis is of excellent quality.
Fifteen years in the making, the CAD/CAM system was conceived in the imagination of Dr. Francois Duret, a brilliant French dental surgeon. Dr. Duret’s conceptualization began with the premise that a computer could assist prosthodontists to design and automatically produce a high-quality prosthesis. He hypothesized that in one appointment, a dentist could create,
First Cad/Cam course in CanadaDENTURISM HISTORY
Mark Rotsaert, Rotsaert Dental Laboratory Services Inc.
used daily to fabricate everything from Zirconia crowns and bridges to titanium implant bars. This technology has given the laboratory the ability to create accurate products that could not have been made in the conventional manner with these materials. CAD/CAM has not replaced the technician nor has it replaced the function of a dentist in the restorative field. It has only helped to achieve consistent results. The dentist still has to prep the tooth and control the oral environment creating a dry field for digital impression taking. The technician still has to take this information from a dentist and create restorations that function in the oral environment. The technology of CAD/CAM aids us in fabricating the restoration with more precision but doesn’t replace the lab in fabrication of the products.
This translation of Dr. Duret’s original Methodology from 1987 makes us realize that this gentleman was a true visionary at a time when even fax machines were high tech and the Internet had not been conceived.
To learn more about this incredible person, please go to www.francoisduret.com.
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produce, and fit a prosthesis that exactly met the patient’s needs.
For 12 years, Dr. Duret and his colleagues developed a method of using a dental probe to take three-dimensional measurements of teeth; generating a computer image of these measurements; creating the dimensions of the needed prosthesis through data pertaining to this digitized image; and finally, manufacturing the prosthesis by means of a digitally controlled micro-milling machine.
In 1983, at the Granciere Dental Surgery congress in Paris, Dr. Duret promised a feasibility model of the dental CAD/CAM system by 1985. A prototype working system was developed, and demonstrated at the Paris meeting in 1985.
A production system is currently on line in Europe, and in North America, it will be introduced in 1987.
As in any technological innovation, descriptions of completely current methodology are impractical since new techniques and systemic modifications overtake even the most promptly compiled updates. However, an extensive body of information concerning the dental CAD/CAM system is available:
COMPOSiTiOn OF THE SYSTEM1. The Optical Probe The optical probe, which measures the
teeth in three dimensions, functions according to such an innovative method that we are obliged to limit any descriptions of the technology.Briefly, however, the probe – which operates by a process similar to that of the MOIRE optical pattern outlined by the Ancients – locates a point in the position of a particular tooth with an accuracy that permits less than a 20um margin of error.
2. The Image Processing System The images processing system, which
is linked to the probe, makes a digital record of the probe’s measurements, which have been translated by a Charge Coupled Device (CCD) and sorts the information obtained from this record in order to avoid a computer overload.
The CCD, a matrix micro-captor of considerable accuracy and speed (it scans at three to six megahertz) provides images on a flat surface several times per second. The information generated
by the CCD is applied to the software in producing the prosthesis.
The image processor enumerates, simplifies and transmits relevant data to calculate the dimensions of the prepared tooth.
Software for the creation of dental prosthesis is used with a powerful, quick, 32 bits light microprocessor. The CAD software, conceived according to the concept of MATRA DATAVISION EUCLID, generates an interior and exterior shape that adheres to the imperatives of the mouth: a design created by dentists for dentists.
The intrados (interior design) reflects not only form but also the dynamics of space, fluid flow, reduction, and retention of the prosthesis; the extrados (exterior design) gains its shape and volume from the privileged (contact) areas of interproximal, labial, lingual and occlusion: what results is a theoretical, original and ideal tooth, ready either for immediate use or modification, created by the dentist through the CAD system, depending on the needs of the patient.
3. The Digital Controller The digital controller operates a program
which combines direct, linked, and written material which guides the micro-milling machine in a path that is determined by the requirements of the prosthesis and by the geometric characteristics of the cutting tool; and which controls the machining of the internal and external components of the prosthesis in three axis.
4. The Micro-Milling Machine The micro-milling machine, which
operates under instructions from the computer, has several burs and mould supports, thus fulfilling the requirements of high-quality automatics machining executed by lathes with sliding step or linear displacements. The final products can allow for manual shading, or can contain a semi-automatic finish, using previously selected shapes and colours. The final polishing is done by hand; the methods used depend on the material. For example, full metal crowns only require final polishing; for porcelain material, glaze and bake.
The innovative materials used in this
technology resemble the mechanical and biological characteristics of the tooth; and because these substances are processed directly – no structural changes are made before the prosthesis is fitted in the patient’s mouth – the risk of distortion is eliminated.
COnFiGURATiOn OF THE SYSTEMThe basic components of the CAD/CAM system comprise a modular configuration that facilitates its use in a wide variety of dental offices.
For offices with only one operating theatre, a complete system can be used, or simply a system composed of a probe and a modem; both systems entail privileged transmission of information to dental laboratories through coding of access to data; and both permit modifications of software as it evolves.
As well, the modular structure of the system facilitates its function in multiple-use dental offices; the CAD, the microcompressor, and the digital controller can be linked to several optical probes – without losing transmission capabilities – through a modem to suitable equipped dental laboratories.
If the dentist is equipped with a data capture system, the information will be processed by the CAD software in the dental laboratory, and machining will be done either in the laboratory or by a machining tool in the dental office, to which instructions from the laboratory’s digital controller are transmitted.
METHOdS OF USEThe procedure for producing a crown follows a number of stages, which are outlined according to the configuration of the system set up in a particular dental office.
In an office equipped with a complete CAD/CAM system, the procedure begins as it does in any office – with preparation of the tooth for a crown or bridge. Initially, the area is prepared as for impression-taking; in addition, a liquid can be applied to enhance the quality of the digital coding. Next, the dentist uses the optical probe – an endoscopic micro-camera – to record a series of video-monitored images, each of which can be examined to ensure that it is accurately rendered; this process makes it possible to achieve precise representations of even the most inaccessible areas of the mouth.
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For a dentist accustomed to using the probe, it takes less than three minutes to create images of the particular tooth, and adjacent teeth, and the opposing surfaces; these relatively brief procedures are the only ones in the entire CAD/CAM process that involve working in the patient’s mouth.
To process the image and integrate the different perspectives requires only another two to three minutes.
The next stage, which requires special training similar to other data-system education programs, uses the CAD software to verify that the form of the tooth is acceptable. This process is carried out either in the dental office or in the dental laboratory, and takes two to ten minutes. If the preparation needs adjustment, the software will show where modifications have to be made on the prepared tooth, and a new endoscopic imprint is made on the area that was corrected. The software will show the correction on the screen.
In creating the extrados, a model is displayed on the screen to the dentist, who accepts or modifies the tooth form – for example, the emergence profile, the occlusal, or the harmony – by using various interactive functions. A magnification (or zoom) effect incorporated into the software can highlight the margins, the occlusal angle, the areas of contact, the fissures, the cervical curvature, the centric stops, and the cuspid guidance. All these instructions are conveyed in comprehensible language based on dental terms.
Occlusal movements are monitored according to a number of theoretical trajectories, of which the chosen pattern will determine the modification of the particular occlusal formation.
The last stage of the operation, the machining, involves a material which has the characteristics of dental enamel, which makes it possible to achieve a completed product of excellent quality. To this end, it is essential for the technician to check the monitor at every stage of the machining process, even though this process is entirely automated.
After designing the shape and colour of the tooth (as previously discussed), the part to be machined is placed automatically held in place. Then, a single
on-off switch engages the machining cycle, which lasts 15 to 20 minutes per element in order to produce an excellent finish. However, the working time is reduced to 10 minutes by improvements to the cutting machine, and by machining the intrados while the extrados is being created in CAD.
Following the completion of the machining cycle, it is desirable to buff or glaze, depending on the material being used for the prosthesis. Then, the accuracy of the prosthesis is verified by a second optical probe reading, which compares the results to the original reading used for the digitally controlled machining process in order to indicate the degree of accuracy to which you work.
To compete an aesthetically desirable crown using this system requires only one visit, and takes a maximum of 25 minutes.
In a dental office using a modem, the work done in the office consists only of the measurement, its verification, and a portion of the image interpretation: these stages rake a total of five to seven minutes. The ensuing work is completed within 20 minutes in the dental laboratory, then delivered to the dental office.
FUTURE dEVELOPMEnTThe current methodology describes only the creation and production of single-element prosthesis or those of limited size. However, by July 1987, it is expected that the CAD/CAM system will be adapted for large-scale bridges, inlays, pin crowns, and their attachments. And by 1987, the system will also accommodate diagnosis in orthodontics and paradontology, as well as production of the brackets and splints.
Management software is already being planned for the current version of the system, and future software will replace the same evolutionary process employed in today’s personal data microprocessing systems: programs that contribute to the developments of the dental CAD/CAM concept will be made widely accessible and will form the foundation of future development of software.
Training programs will be supervised by an exclusively dental team, and will emphasize the theoretical and practical requirements for familiarization with the CAD/CAM system. www.oxydental.com/carolynJ
to learn more about the benefits for you and your practice, please:Contact me via email
[email protected] or 705-327-7935
to leave a message then go to www.oxydental.com/carolynJ
i will also be glad to send you a free product sample and next steps for your practice!
Help your patientsproteCt tHeir
inVestment
Congratulations
DAC on your 40th Anniversary!
30 Fall / automne 2011
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industRy neWs
One of the biggest challenges faced by denturists is keeping up with all of the
developments in technology. It can be a real guessing game trying to differentiate between those technologies that will end up on your shelf collecting dust, and those that will end up transforming your practice in ways you never imagined.
I evaluating new technologies, it can be helpful to ask the following five questions:1. Will it enable you to improve the care you
provide your patients?2. Will you be able to conveniently
incorporate it into your practice?3. Will it be well-accepted by your patients?4. Will it be affordable for your patients?5. Will it be financially attractive for your
practice?It is not often that a new technology clearly meets all five of these criteria, but one that does is the fluorescence visualization technology employed by the VELscope® Vx oral cancer screening system. In fact, this device also meets a sixth criterion:6. Will it enable you to save a life?
oral cancer screening: enhance the health of your patients...and your practice
31Fall / automne 2011
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It seems fair to say that no one becomes a denturist with the goal of saving lives, but the fact is that we are in a position to discover oral cancer – or, better yet, pre-cancer – and hence potentially prevent one or more lives from being lost. Oral cancer strikes roughly three times as many victims as cervical cancer, and takes the life of one North American every hour of every day. Historically, the typical oral cancer victim has been an older male who uses tobacco and/or heavy amounts of alcohol, and many victims continue to fit this description. However, an increasing number of oral cancer victims are younger people, including females, who do not use tobacco and may not even use alcohol. Many of these people are contracting the disease through exposure to the sexually transmitted human papilloma virus, particularly the HPV-16 strain. In effect, this means that anyone who is sexually active is potentially at risk for developing oral cancer.
Because early stage oral cancer is generally not visible to the naked eye and causes little or no pain or discomfort, it is most often detected in late stages. What makes this fact so tragic is that when discovered in late stages, the five-year survival rate is only about 30 per cent. The good news: when discovered in early stages, the survival rate leaps to 80 to 90 per cent. And that is where dental professionals come in. No one is better suited to detect early stage oral cancer or pre-cancer, because no one spends more time examining the oral cavity.
The first step in examining a patient for oral cancer should be to conduct a conventional “white light” exam, which involves visual inspection with the naked eye as well as palpation of the neck and face. More and more dental professionals are now adding a second step: an examination with an adjunctive screening device. The world’s most popular adjunctive screening device uses tissue fluorescence visualization technology, which is supported by over $50 million in clinical research funded by the National Institutes of Health and other prestigious institutions over the years.
This device, the VELscope oral cancer screening system, was co-developed by British Columbia-based LED Dental Inc. and the world-renowned BC Cancer Agency, and is the first device to apply this technology to the oral cavity. It is also the first device cleared by Health Canada and the FDA to help dental clinicians detect cancerous and pre-cancerous lesions that might not be apparent to the naked eye, and to help determine the appropriate surgical margin when the lesion needs to be excised.
The VELscope handpiece emits a safe blue light that excites natural fluorescence in the oral mucosa – both in the epithelium and underlying connective tissue. While this fluorescence response is highly sensitive to dysplasia and oral cancer, it is equally sensitive to other disease processes going on inside the tissue. When viewed through the handpiece, such changes make themselves apparent by causing alterations in the fluorescence pattern; abnormal tissue typically appears as a dark area that stands in contrast to the typical pattern of the fluorescence produced by the healthy tissue. Abnormal tissue that is determined by the clinician to be suspicious should then be subjected to a surgical biopsy for diagnosis.
The latest generation of this device, the VELscope Vx, was introduced in late 2010 and has received a very enthusiastic response. Unlike earlier models, the VELscope Vx features a lightweight, cordless design, and its price is less than half that of previous models. Exams using this new device take only two minutes, involve no distasteful rinses or messy
dyes, and are very easy to incorporate into the practice. The device’s price allows practices to charge a low fee for the exam and still generate enough revenue to not only cover the cost of the device within a short amount of time but to enhance the practice’s bottom line over time. In addition, LED Dental recently introduced an optional digital camera system, consisting of a 12 megapixel Canon® digital camera and a bracket with a simple twist-on connection to the VELscope Vx hand-piece. Importantly, this allows for easy photo-documentation of suspicious lesions to ensure that surgical biopsies target the correct location.
The VELscope Vx was recently one of only 16 products in the entire dental products industry to receive the prestigious Best in Class Award from the Pride Institute. It was also named one of 2011’s Top 100 Products by Dentistry Today magazine. VELscope technology has previously received many other honors, including being the only dental product recognized by the World Health Organization as “an innovative device that addresses global health concerns.”
Over the years, a number of clinical studies have documented the efficacy of VELscope technology. One of the most recent was a groundbreaking 620-patient study conducted by the University of Washington under the direction of Dr. Edmund Truelove. When the 620 patients were examined via a visual inspection, 28 lesions were missed, including five cases of dysplasia. When examined using the VELscope device, not one of these lesions was missed.
“It seems fair to say that no one becomes a denturist with the goal of saving lives,
but the fact is that we are in a position to discover oral cancer – or, better yet,
pre-cancer – and hence potentially prevent one or more lives from being lost.”
32 Fall / automne 2011
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industRy neWs
Bill dowe joins Henry schein Canada
Henry Schein Canada is excited to announce the hiring of Bill Dowe as
Director of Laboratory & Denturism. Bill joins Henry Schein Canada with over 10 years of sales and marketing experience in the dental field. He looks to carry over his proven track record of providing value and service to the dental laboratory and denturism markets. Bill is available for comments or suggestions for how Henry Schein Canada can better serve your business needs.
According Dr. Truelove, “I have found VELscope to be a very useful addition to the diagnostic methods used for the detection and management of oral dysplastic and malignant lesions. There have been several occasions where its use allowed detection of malignant or dysplastic oral lesions when clinical suspicion of the lesion was very low or nonexistent. The scope is easy to use and provides a more objective method than visual inspection alone for determination of which lesions demand immediate biopsy and more aggressive follow-up. Adding the VELscope to our diagnostic protocol has been extremely useful and resulted in detection of dangerous lesions that would have otherwise been undetected.”
Your patients already think of you as someone who plays an important role in enhancing the quality of their life. Now, by adding regular oral cancer screening exams to your protocol, you can ensure that they will also think of you as someone who just might save their life.
Watch the spring 2012 issue of Denturism Canada for the university of Washington study Narrow band (light) imaging of oral mucosa in routine dental patients
Part I: Assessment of value in detection of mucosal changes.
33Fall / automne 2011
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Dental Technicians Association of British Columbia Annual Convention
The Dental Technicians Association of BC’s Annual Convention is Friday November 4 and Saturday November 5, 2011 at the Sheraton Vancouver Airport Hotel in Richmond, BC. This year’s convention will feature an exciting series of hands-on courses and lectures, a keynote address from a leading Canadian executive and a two-day tradeshow. You can obtain up to 7 CE for attending the Annual Convention.
This year’s key note speaker is Roy Osing, a leading senior Canadian executive who moved up the ranks of the Canadian telecommunications industry and is now President and CEO of Brilliance for Business. He is a notable author, speaker and educator who knows what it takes to be successful in today’s competitive and chaotic times. The title of his lecture is Be DIFFERENT or be dead: How to distinguish yourself from the faceless herd. This is one session you won’t want to miss.
We have some exciting speakers and lectures lined up for our technical and hands-on courses which include:1• Intro to Ortho for the General Lab• Advanced Ortho Trends
• A Technician’s View of Clinical Dentures; Custom Trays and Facebrows
• Tooth set ups with Genios Teeth• Technicians vs. Denturists• How to profit from CAD/CAM in restorative prosthetics• Materials and Aesthetics: a delicate balance• CAD/CAM ceramics course presented by Bastian Heinloth, RDT
of Munich, Germany and sponsored by Patterson Dental. Mr. Heinloth will conduct both a 90-minute lecture and a 90-minute hands-on course; the hands-on course will cover the following: - Scanning basics- Design of a full contour e.max Crown- Design of a Zirconia Bridge- Design of a Zirconia Bruxzir Crown
These are just a few of the courses and lectures we have planned for November.
For more information and to register please visit www.dentaltechniciansofbc.com/convention.
Celebrating
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industRy neWs
3M ESPE, the worldwide leader in impression solutions, introduces a
new wash delivery system that brings easier handling to intra-oral syringing – Impregum and Imprint 3 Intra-oral Syringes. These new unfilled syringes that deliver a dentist’s preferred choice of wash impression material continue 3M ESPE’s more than 30-year record of delivering innovative impression solutions.
The small size and ergonomic design of the Impregum and Imprint 3 Intra-oral Syringes from 3M ESPE make it easier for dental professionals to access hard-to-reach areas of the mouth, resulting in more precise applications and better fitting final restorations. The syringes are compatible with 3M ESPE VPS or polyether wash material delivered from a 50 mL hand dispensed cartridge and offer easier intra-oral handling than standard hand dispensers.
In addition to their easy handling and convenience, Impregum and Imprint 3 Intra-oral Syringes from 3M ESPE can also help reduce product waste in the impression-making procedure.
Compared to hand dispenser tips, the Imprint 3 Intra-oral Syringe results in 67 per cent less VPS material waste, while the Impregum Intra-oral Syringe cuts polyether material waste by 84 per cent.
3m esPe introduces impregum and imprint 3 intra-oral syringes
The syringes also enable dental professionals to dispense individual doses of wash material, giving them exact control over the material amount, with no pre-dosed quantity – which is found with existing unit dose systems in the market. Because they are single-use products, the syringes allow for a more hygienic procedure and eliminate time-consuming cleaning steps such as disinfection of the syringes, mixing tips or cartridges.
With easier handling and less material waste, the Impregum and Imprint 3 Intra-
Syringes offer easy handling and less material waste
Have an item you would like
featured in the industry
news section?
Contact Chad morrison at:
toll Free: 866-985-9788 e-mail: [email protected]
oral Syringes from 3M ESPE give dental professionals a new state-of-the-art dispensing option.
For more information, visit 3MESPE.com/GreatImpressions or call 3M ESPE Customer Care at 888-363-3685.
w w w . s p e c i a l t y t o o t h s u p p l y . c o m
37Fall / automne 2011
Michael FlowerRegional Manager, Central Canada
To learn more about how Zimmer Dental canestablish a lasting partnership with your practice, please visit us online at www.zimmerdental.comor contact a sales representative at 1 (800) 265 0968.
I am Zimmer. I know that actions speak
louder than words but I want you to
have this in writing. I am committed to
your success. To showing you that Zimmer
stands for quality, service and innovation.
I believe in providing the unique products
and services you need to support and
grow your business. Like all of us here,
I am responsible for ensuring the Zimmer
experience is one you can count on.
Let me prove it to you one step at a time.
I am Zimmer and I am here.
www.zimmerdental.com
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DENTSPLY Canada announces the launch of Blueprint X-creme, the
next generation in the Blueprint family of alginates. Blueprint X-creme is a state-of-the-art alginate that fits the needs of today’s dental professionals. The material provides a smooth, compact surface, fast setting and excellent elastic recovery, thereby ensuring high quality impressions and convenient handling at the same time. The material features a dust-free formulation to reduce the concentration of airborne particles and eliminate dust during mixing. Blueprint X-creme offers
dentsply Canada introduces next generation Blueprint® alginate: Blueprint® X-Creme
the well-known performance of Blueprint alginates along with some significant improvements, like the option of delayed pouring thanks to a five-day dimensional stability.
As part of this launch, Blueprint Cremix products will be discontinued and replaced by the new Blueprint X-creme. Blueprint X-creme is available in the same packaging formats as Blueprint Cremix.
For more information, please contact DENTSPLY Canada at 800-263-1437, visit www.dentsply.ca or call an authorized DENTSPLY distributor.
39Fall / automne 2011
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V ident is pleased to announce the launch of its new VITABLOCS FOR
LIFE Campaign. To help promote the proven features and benefits of VITA machinable ceramics, VITA has launched new and updated VITABLOCS sales and marketing materials with a modern campaign theme and graphics, as well as updated presentations, training and marketing tools to support the effort.
VITABLOCS are exclusively distributed by Patterson Dental Company. Featured products for the promotion include all VITABLOCS Mark II, TriLuxe, TriLuxe forte, RealLife as well as VITA CAD Temp blocks. An exclusive CEREC promotion is also available for all new and existing customers.
VITABLOCS are considered the long-term gold standard in successful clinical restorations and feature proven reliability, proven esthetics and proven clinical success. New sales and marketing materials help tell the story and include a scientific data reference folder, testimonial booklet, a 16-page product brochure, and more.
Vident kicks off new Vitablocs For life Campaign
Marketing support is provided in the form of targeted advertising and publicity as well as direct mail and media PR. Education and technical support is also part of the launch and includes Powerpoint presentations, trainings, webinars and a Vident technical support hotline.
Vident has been a provider of innovative dental products since 1985 and is the North
American subsidiary of VITA, manufacturer of the internationally recognized Classical Shade Guide, 3D-Master Shade System, VITA Easyshade Compact digital shade-taking device and quality VITA restorative materials. For information on VITA’s VITABLOCS FOR LIFE Campaign, call 800-828-3839 or visit Vident’s website www.Vident.com.
40 Fall / automne 2011
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Final DenturismCanadaAd Sept2-11-EV1.pdf 1 11-08-31 8:37 AM
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tHe un-ComFoRt ZoneBy Robert Wilson
On June 29, 1863, a 23-year-old first lieutenant received an unexpected
promotion. The freckle-faced, strawberry blonde, who graduated at the bottom of his class at West Point, was elevated directly to the rank of brigadier general in the Union Army. He completely skipped over the traditional ranks in between of captain, major, and colonel. As you can imagine such a promotion was met with skepticism, dismay, and envy by his former peers and superiors. Especially at a time when the South was winning against the North during the American Civil War.
Major General Alfred Pleasonton, who promoted the boy, saw his gamble put to
the test just four days later in the Battle of Gettysburg. The young general was put in charge of the Michigan Cavalry and charged with keeping Confederate General Jeb Stuart from attacking the Union Army’s rear.
Was he up to the task? Could he keep that dubious star on his shoulder that so many wanted removed? Motivated by the desire to prove himself, George Armstrong Custer, his gleaming sabre outstretched in front of him, led the cavalry charge and held the Union line. His successful leadership served as a crucial contribution to the battle that was the turning point in the North winning the war.
When leadership is thrust upon us,
many of us are motivated to rise to the occasion. Sometimes, however, leadership must rise in a vacuum. What motivates us to become leaders when there are none?
A few years ago, five friends and I went white water rafting for the very first time. We went on the upper Ocoee River in Tennessee where the rapids are rated Class Four. Not exactly the best choice for beginners, but we had a competent guide, who gave us plenty of instructions on when and how to paddle. He was so good that we were the only rafters in a group of 10 rafts that did not capsize and get soaked.
Then, halfway through our trip, we went over a small waterfall. When our
thrown into the driver’s seat
42 Fall / automne 2011
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YearsClick here to return to the Table of Contents
tHe un-ComFoRt Zone
rubber raft hit the bottom it bent in the middle and folded up like a book. When it sprung back apart our guide was catapulted from the boat and landed several feet behind us. As our leaderless raft sped forward, getting further and further away from our guide, five of us thought, “Uh, oh, what are we going to do!” Before we could panic, my friend Bill started barking commands, “Left side four strokes! Right side two strokes!” With great relief we followed his orders and within minutes he had us safely out of the rushing white water and into the calmer water by the riverbank where our guide was able to catch up to us.
A leadership role can jump-start motivation. When you have the responsibility of guiding others, it forces you to guide yourself first. I have found that volunteering for leadership roles at work and for non-profit organizations to be self-motivating. Back in the early 1990s, I had a particularly bad year. My mother passed away, a business venture failed, and I had a falling-out with my best friend. Needless to say, I was in a funk, and seriously needed something to move me out it. That’s when I learned that my community association needed
a new president. It was a huge job with a two-year commitment that required fundraising, event planning, managing several committees, and supervising dozens of volunteers. It consumed tons of my time, but it also taught me that I could do more in a day than I ever knew. During that same two-year period, I launched two new businesses, both of which became success stories.
As a manager, you can motivate your employees (or your volunteers) by giving them a mantle of leadership. Suddenly he or she will no longer be just another disaffected cog in the wheel. But with a position of responsibility, those persons will be empowered to do more and be more. Sure, it may require a greater effort on your part, but you will challenge their minds, expand their abilities, and imbue them with a sense of accomplishment.
Robert Evans Wilson, Jr. is a motivational
speaker and humorist. He works with
companies that want to be more competitive
and with people who want to think like
innovators. For more information on
Robert’s programs please visit www.
jumpstartyourmeeting.com.
“A leadership role can jump-start motivation. When you have the
responsibility of guiding others, it forces you to guide yourself first.
I have found that volunteering for leadership roles at work and for non-profit organizations to be
self-motivating.”
Westan would like to extend a heart felt congratulations to the
denturist association of Canada’s 40th anniVeRsaRy!
VIDENT
Whether you require: *porcelain *resin *PMMA
*nano-filled composite Westan has you covered.
The bottom line was, is, and always will be quality. Talk to a local rep who
will be pleased to work with you.
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IVOCLAR
Call toll-free 1-800-661-7429www.westan.ca
Candulor
Heraeus Kulzer
43Fall / automne 2011
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ClassiFieds
CLINICS FOR SALE A well-known denturist office in
West Vancouver is for sale for $128,800. Low rent ($1,800 gross), steady income over 25 years of business practice. Patient database, lots of parking, renovated office and equipment. Asking $128,800. Call: 604-922-3309.
denture clinic for sale in Kamloops BC. Well-kept office with excellent growth potential. Current owner is retiring and is the only denturist serving a large population base on the north shore of Kamloops. Great relationship with a referring dentist in the area. Low overhead with a cash flow of $140,000.00 in 2010 based on a three-day week with extra time away for vacations. Owner is asking $65,000.00 and is open to offers. Contact [email protected] for more info or pictures, or call 250-554-0055.
denture clinic for sale in Victoria, B.C. R&D Denture Clinic established in 2001 is located in busy and popular Shopping Centre Mall, one of the best areas in Victoria. Modern clinical and laboratory equipment and office design. Priced at $ 75,000. Serious inquiries only.
Contact Sergei Khartchenko ph: 250 881-8560 or Email: newdiatech@ shaw.ca.
Opportunity of a lifetime! If you are looking to achieve better work/life balance, this is an opportunity to relocate to Southwest Ontario. With a large senior population in our area, we have a loyal patient base and a continual substantial annual growth. The business is based on high quality dentures construction. It is the only denture clinic in town with an excellent location, modern, fully-equipped and professionally designed. Low overhead, patients and dental referrals make this clinic very profitable. The extra space gives the possibility to sublease. Current owner willing to stay on to ensure a smooth transition if needed. For more information, call Daniela at 519-995-5533.
CLINICS FOR RENT/LEASE denturist office for rent in Kitchener,
Ontario. Great location for someone looking to start out on their own. If interested, please email [email protected].
DENTURISTS WANTED Busy denture clinic in dawson
Creek, BC looking for a licensed or intern
denturist to join our team. Please fax resumes to 250-782-6083.
Certified denturist and/or a denture technician wanted: Denture clinic located in the town of High River, Alberta, just 20 minutes south of Calgary is seeking a certified denturist and/or a denture technician. The ideal candidate will have a denture certificate/diploma. Also, will have a minimum of three to five years’ experience with making dentures and technical expertise, also, preparing plaster moulds, packing moulds to form dentures, set up and waxing up, casting, preparing and fabricating dentures. This is a fast-paced environment. Please email [email protected] or mail to High Country Denture Clinic, 111 C Macleod Trail S, High River, AB T1V 1M9.
Looking for a newly graduated denturist or a denturist looking to buy into a well-established dental practice in Central Vancouver Island. This is a fantastic opportunity for the right person. Please contact Brian at 250-246-4674 or [email protected] for details.
44 Fall / automne 2011
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ClassiFieds
Licensed denturist wanted immediately for well-established Calgary practice. Excellent benefits, wage compensation, and perks. Respond to [email protected]. All inquiries confidential.
EQUIPMENT FOR SALE Variety of equipment for sale: Model
trimmer, flasks, trays, denture press, hydraulic press, articulators, porcelain oven and materials, micro-motor, ring press, tools and much more. Please call Gabriel for details or to arrange an appointment at 416-424-3201.
KAVO boil-out and polishing unit; Ticomium shell blaster for sale. Boilout: $5000 obo; polishing unit $3000 obo. Polishing unit specifications and images may be viewed at www.wasserrmandental.com (Model wp-ex80). Ticonium shell blaster suitable for casting lab $3000 obo.
If interested please call 519-622-4500 for additional information.
Equipment for sale 1. Modern complete dental unit with
compressor and pieces (turbine and micro motor)
2. Laboratory compressor3. Almore termoregulated Pressure
Pot allowing program pressure and temperature
4. Dry air pressure Polimerisator5. Mechanical denture press6. Regular metal flacks7. Metal trays8. Wax hitter 9. Model trimmer10. Metalloceramic porcelain material
(Vita set)11. Metalloplastic dental material (Vita set)Please contact Sergei Khartchenko 250 881-8560 or Email: [email protected]
To submit a classified ad please contact: denturist Association of CanadaPO Box 455212397 King George BoulevardSurrey, BC V4A 9n3 CanadaTelephone: 1-604-538-3123/1-877-538-3123Fax: 1-604-582-0317Email: [email protected]
Managing EditorTelephone: 866-985-9784Email: [email protected]
Rates are free for members and $75 for non-members
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45Fall / automne 2011
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ReaCH ouR adVeRtiseRs
Denturism Canada would not be possible without the advertising support of the following companies and organizations. Please think of them when you require a product or service. We have tried to make it easier for you to contact these suppliers by including their telephone numbers and websites. You can also go the electronic version at www.denturist.org and access direct links to any of these companies.
COMPAnY PAGE PHOnE WEBSiTE
Aluwax Dental Products 11 616-895-4385 www.aluwaxdental.com
Aurum Ceramic Dental Labs 3 800-661-1169 www.aurumgroup.com
BIOMET 3i 10 800-363-1980 www.biomet3i.com
Central Dental Ltd. OBC 416-694-1118 www.centraldentalltd.com
Cosmo Dental Lab 41 866-222-0035 www.cosmodental.ca
Dentsply Canada 36 905-851-6060 www.dentsply.ca
Denturist Maxident Software 17 800-663-7199 www.maximsoftware.com
Dr. Arsalan Poorsina 12 647-998-6684 [email protected]
Fixodent 9 800-214-8871 www.fixodent.ca
Henry Schein 31,33 800-668-5558 www.henryschein.ca
Impact Dental Lab 34 800-668-4691 www.impact-dental.com
Implant Direct 6 604-730-1337 www.implantdirect.com
Ivoclar Vivadent 14 800-263-8182 www.ivoclarvivadent.com
Laboratoire Dentaire Concorde 22 800-668-3389 [email protected]
Lang Dental Manufacturing Company 21 800-222-5264 www.langdental.com
Mid-Continental 9,18,39 800-882-7341 www.mid-continental.com
Nobel Biocare 4 800-939-9394 www.nobelbiocare.com/dental
Oxyfresh 30 800-364-1649 www.oxydental.com/carolynj
Pro-Art Dental Lab 15 416-469-4121 www.pro-artdentallab.com
Specialized Office Systems 45 800-495-8771 www.denturistsoftware.com
Specialty Tooth Supply 37 800-661-2044 www.specialtytoothsupply.com
Synca Marketing IBC 800-667-9622 www.synca.com
The Brewer Company 22 888.BREWER.1 www.brewercompany.com
Vident IFC 800-263-4778 www.vident.com
Westan 43 888-477-9378 www.westan.ca
Zimmer Dental 38 800-265-0968 www.zimmerdental.com
to reach denturists across Canada through Denturism Canada magazine and its targeted readership, please contact Chad morrison directly at:
toll Free: 866-985-9788 toll Free Fax: 866-985-9799 e-mail: [email protected]
D e n t u r o l o g i ethe Journal of Canadian Denturism / le Journal de la Denturologie Du Canada
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.ca
• Mini-implants
• Dignity with a smile
Also:
Darwin, Australia | D
arwin Convention Centre
7th World
Symposium on
Denturism
AuguSt 23-26, 2011
D E N T U R O L O G I E
The Journal of Canadian Denturism / Le Journal de la Denturologie Du Canada
SUM
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/ÊTE
201
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C A N A D A
• DAC Annual Meeting review
• Perfecting Your Practice
conference preview
ALSO:
CAD/CAM
Model Processes
PM
#4
00
65
075
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eliv
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add
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elly
@ke
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.ca
D E N T U R O L O G I E
The Journal of Canadian Denturism / Le Journal de la Denturologie Du Canada
FALL
/AUT
OMNE
201
1
C A N A D A
PM
#4
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075
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add
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@ke
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.ca
• CAD/CAM through the years
ALSO:
DAC Celebrating
Years1971-2011
46 Fall / automne 2011
The Right Material for Stronger DenturesThe Right Material for Stronger Dentures
1-800-667-9622
Fiber Forcedentures
Traditionaldentures
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75.2 MPa• Increase both fracture and fatigue resistance with a non-rigid reinforcement
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For Step by Step Instructions & Tutorials visit: www.fiberforcedental.com
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FiberForce ad Palmeri (2011-06) eng_Layout 1 11-06-28 10:38 AM Page 1
